Study on the trend and disease burden of injury deaths in Chinese population, 2004-2010.

Study on the trend and disease burden of injury deaths in Chinese population, 2004-2010.
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DOI:
10.1371/journal.pone.0085319
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Li J
Li J
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Zhang L;Li Z;Li X;Zhang J;Zheng L;Jiang C;Li J

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在中国,伤害是一个日益严重的公共卫生问题,占因过早死亡而损失的所有人的寿命年数的30%以上。这项研究利用国家疾病监测点(DSPs)系统的数据,分析了2004-2010年中国人口伤害死亡的趋势和疾病负担,因为伤害死亡是根据国际疾病分类第10版(ICD-10)进行分类的。我们观察到,2004-2010年中国的伤害死亡占总死亡人数的近10%,男性伤害死亡率高于女性,农村高于城市。交通事故(占所有伤害死亡的33.79-38.47%)和自杀(16.20-22.01%)是伤害死亡的两大主要原因。令人震惊的是,自杀超过交通事故成为农村女性伤害死亡的主要原因,但65岁及以上的成年人跌倒致死人数最多(2004-2010年间,死亡人数为20,701人)。男性伤害负担(72.11%)约为女性(28.89%)的3倍。这项研究为中国当局需要加强对三类主要伤害的监测和威慑提供了不可或缺的证据:交通伤害死亡应成为所有人口的伤害预防活动的目标,65岁以上的人应被鼓励采取个人预防跌倒措施,防止农村女性自杀行为应成为中国政府的另一项重点工作。
Injuries are a growing public health concern in China, accounting for more than 30% of all Person Years of Life Lost (PYLL) due to premature mortality. This study analyzes the trend and disease burden of injury deaths in Chinese population from 2004 to 2010, using data from the National Disease Surveillance Points (DSPs) system, as injury deaths are classified based on the International Classification of Disease-10th Revision (ICD-10). We observed that injury death accounted for nearly 10% of all deaths in China throughout the period 2004–2010, and the injury mortality rates were higher in males than those in females, and higher in rural areas than in urban areas. Traffic crashes (33.79–38.47% of all injury deaths) and suicides (16.20–22.01%) were the two leading causes of injury deaths. Alarmingly, suicide surpassed traffic crashes as the leading cause of injury mortality in rural females, yet adults aged 65 and older suffered the greatest number of fatal falls (20,701 deaths, 2004–2010). The burden of injury among men (72.11%) was about three times more than that of women's (28.89%). This study provides indispensible evidence that China Authority needs to improve the surveillance and deterrence of three major types of injuries: Traffic-related injury deaths should be targeted for injury prevention activities in all population, people aged 65+ should be encouraged to take individual fall precautions, and prevention of suicidal behavior in rural females should be another key priority for the government of China.
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